• Title/Summary/Keyword: Inferior Selection

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Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Free Flap (심부하복벽천공지 유리피판을 이용한 즉시 유방 재건술)

  • Ryu, Min Hee;Kim, Hyo Heon;Jeong, Jae Ho
    • Archives of Plastic Surgery
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    • v.34 no.2
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    • pp.229-236
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    • 2007
  • Purpose: Breast reconstruction with deep inferior epigastric perforator(DIEP) free flap is known to be the most advanced method of utilizing autologous tissue. The DIEP free flap method saves most of the rectus abdominis muscle as well as anterior rectus sheath. Therefore, the morbidity of the donor site is minimized and the risk of hernia is markedly decreased. Methods: We chose the internal mammary artery and its venae comitantes as recipient vessels, and deep inferior epigastric vessels as donor vessels. The number and location of the perforators derived from medial or lateral branch of deep inferior epigastric artery(DIEA) in 23 DIEP flaps were identified. Ten patients underwent evaluation of their abdominal wall function preoperatively and 6 months postoperatively by using Lacote's muscle grading system. Results: Of the 23 patients, a patient with one perforator from lateral branch of DIEA experienced partial necrosis of flap. Total flap loss occurred in one patient. Mild abdominal bulging was reported in one patient 4 months postoperatively probably because of early vigorous rehabilitational therapy for her frozen shoulder. Postoperative abdominal wall function tests in 10 patients showed almost complete recovery of muscle function upto their preoperative level of upper and lower rectus abdominis and external oblique muscle function at 6 months postoperatively. All patients have been able to resume their daily activities. Conclusion: The breast reconstruction with DIEP free flap is reliable and valuable method which provide ample soft tissue from abdomen without compromising the integrity of abdominal wall. Selection of reliable perforators is important and including more than two perforators may decrease fat necrosis and partial necrosis of flap.

Anesthetic efficacy of Gow-Gates versus inferior alveolar nerve block for irreversible pulpitis: a systematic quantitative review

  • Sarfaraz, Ifrah;Pascoal, Selma;Macedo, Jose Paulo;Salgado, Abel;Rasheed, Dil;Pereira, Jorge
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.4
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    • pp.269-282
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    • 2021
  • This review aimed to assess and compare the outcomes of the anesthetic efficacy of inferior alveolar nerve block (IANB) and Gow-Gates mandibular nerve block (GGMNB) in patients with symptomatic irreversible pulpitis. A descriptive systematic review of quantitative research was conducted wherein the "Preferred Reporting Items for Systematic Reviews (PRISMA)" was adopted, and the Problem/Patient/Population, Intervention/Indicator, Comparison, Outcome (PICO) criteria were used to structure the research question. A literature search was performed using PubMed/Medline, Cochrane Library, Google Scholar, and Ovid. Selection criteria were applied for populations over nine years of age, of either sex, with irreversible pulpitis, and articles published in English regarding conventional IANB or IANB and Gow-Gates techniques between 2009 and 2019. Prospective randomized clinical trials or randomized controlled trials were included in the review, in which anesthetic efficacy or success was measured. After screening, four articles were included. Three studies were randomized clinical trials, and two were randomized controlled trials. The validity and reliability of the individual studies were examined. There was evidence of the higher efficacy of the GGMNB technique than that of the IANB technique. However, both techniques can be mastered through training.

The Mid-term Results of Inferior Capsular Shift Procedure for Multidirectional Instability of the Shoulder (견관절 다방향 불안정성의 하방 관절낭 이동술에 대한 중간 추시 결과)

  • Rhee Yong Girl;Cho Chang Hyun;Lee Jae Hoon
    • Clinics in Shoulder and Elbow
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    • v.3 no.1
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    • pp.1-9
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    • 2000
  • Purpose: To report the mid-term results of the inferior capsular shift procedure for the multidirectional instability, and to analyze whether the bilateral laxity, the generalized ligamentous laxity and the voluntary instability can influence upon the final outcome. Material and Method: We reviewed 95 patients with 96 shoulders treated by the inferior capsular shift procedure for multidirectional instability through an anterior approach. In total, 49 shoulders(51%) showed generalized ligamentous laxity, 56 shoulders(58%) bilateral laxity, and 65 shoulders(68%) voluntary subluxation. Mean follow-up was 27 months(11-60 months). Result: The final Rowe score was 75 points in patients who had had at least one of the bilateral laxity, generalized ligamentous laxity, or the voluntary subluxation and 84 points without any of these in each element. Seventy-five percent of the bilateral laxity and 87% of the unilateral instability continued to function well without any pain and instability postoperatively. Those with a voluntary(74%), those with an involuntary instability(83%), those with a generalized ligamentous laxity(73%) and without laxity(84%) could do well a daily living activity without instability Eighty-six percent who had had the voluntary instability was eliminated completely the voluntability. Eighty-four percent of the patients stated that they were subjectively satisfied with the status of their shoulder. Nine shoulders(9.4%) had recurrence of symptomatic and disabling instability and theses patients had had at least voluntary instability preoperatively. Seven patients(7.3%) suffered from the stiff shoulder after the inferior capsular shift procedure. Conclusion: The inferior capsular shift procedure in multidirectional instability provided satisfactory results both in objective and subjective terms. Nonetheless, a patient who has a bilateral laxity, a generalized ligamentous laxity or a voluntary instability could be expected less favorable results compared to those with neither of these. A careful selection of the inferior capsular shift procedure for the multidirectional instability is needed before surgery. But our results suggests that a voluntary instability is not always poor candidate for the inferior capsular shift procedure.

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An Improved Genetic Algorithm for Integrated Planning and Scheduling Algorithm Considering Tool Flexibility and Tool Constraints (공구유연성과 공구관련제약을 고려한 통합공정일정계획을 위한 유전알고리즘)

  • Kim, Young-Nam;Ha, Chunghun
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.40 no.2
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    • pp.111-120
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    • 2017
  • This paper proposes an improved standard genetic algorithm (GA) of making a near optimal schedule for integrated process planning and scheduling problem (IPPS) considering tool flexibility and tool related constraints. Process planning involves the selection of operations and the allocation of resources. Scheduling, meanwhile, determines the sequence order in which operations are executed on each machine. Due to the high degree of complexity, traditionally, a sequential approach has been preferred, which determines process planning firstly and then performs scheduling independently based on the results. The two sub-problems, however, are complicatedly interrelated to each other, so the IPPS tend to solve the two problems simultaneously. Although many studies for IPPS have been conducted in the past, tool flexibility and capacity constraints are rarely considered. Various meta-heuristics, especially GA, have been applied for IPPS, but the performance is yet satisfactory. To improve solution quality against computation time in GA, we adopted three methods. First, we used a random circular queue during generation of an initial population. It can provide sufficient diversity of individuals at the beginning of GA. Second, we adopted an inferior selection to choose the parents for the crossover and mutation operations. It helps to maintain exploitation capability throughout the evolution process. Third, we employed a modification of the hybrid scheduling algorithm to decode the chromosome of the individual into a schedule, which can generate an active and non-delay schedule. The experimental results show that our proposed algorithm is superior to the current best evolutionary algorithms at most benchmark problems.

COMPARISON OF VARIABILITY IN BREEDING METHODS FOR RESISTANCE TO BACTERIAL WILT IN FLUE-CURED TOBACCO (황색종 연초의 세균성마름병 저항성품종 육성을 위한 육종방법 비교)

  • 진정의;고미석
    • Journal of the Korean Society of Tobacco Science
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    • v.9 no.2
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    • pp.11-24
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    • 1987
  • Lines were developed from the two crosses, BY4 X NC 82 and BY 4 X BY 104, by bulk, backcross and anther-derived dihaploid methods of breeding , and their variations in major agronomic, chemical characters, heritability, and response to selection were compared. 1. The anther-derived dihaploid lines showed a greater genetic variability and heritability in characters investigated than the lines developed by the other two methods of breeding . However, those were Inferior In agronomic characters and yielded 15.4% less leaf tobacco than the lines developed by the bulk method. 2. The lines developed by bulk method were higher In the frequency of lines resistant to bacterial wilt and in the yield, but Its lines appeared later flowering. inferior leaf Quality, and higher total nitrogen contents than those developed by the backcross method of breeding. 3. In the population of the lines developed by the backcross method, bacterial wilt resistant lines were less frequent, but the lines with a good leaf quality were more frequent.

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Relationships of Growth Characteristics Between Adult Trees and Their Seedlings in Open-Pollinated Pinus densiflora Families (소나무 풍매차대 가계의 유묘 생장특성과 성목 생장과의 관계)

  • Lee, Wi-Young;Park, Eung-Jun;Cheon, Byoung-Hwan;Han, Sang-Urk
    • Korean Journal of Breeding Science
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    • v.43 no.4
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    • pp.330-336
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    • 2011
  • A comparative study was conducted on genetic correlation between 12 open-pollinated families (32-year-old) and their one-year-old seedlings for early selection on the fast-growing trait in Pinus densiflora S. et Z.. Those twelve families were divided into three groups such as superior, intermediate, and inferior, on the base of the growth indexes of 32-year-old P. densiflora. The growth performance of the 32-year-old P. densiflora showed significant correlation with the growth traits of their one-year-old seedlings. Dry weights of the seedlings had significant correlation (P < 0.01) with the growth index of the adult plants and its $R^2$ value was 0.597, suggesting that 59.7% of the families could be selected by using dry weights of one-year-old seedlings. Furthermore, the growth rates of seedling heights for superior, intermediate, and inferior groups were 4.568, 3.773, and 3.535, respectively, resulting that seedlings of the superior group grew approximately 1.3-fold faster than those of the inferior group. Therefore, we concluded that two growth traits of one-year-old seedlings dry weight and growth rate were suppose to the early selection factors for the fast-growing trait for P. densiflora.

Performance Analysis of a Double Opportunistic Cooperative Diversity System with Uniform Power Relay Selection (균일전력 릴레이 선택방식을 적용한 이중 기회전송 협동 다이버시티 시스템의 성능분석)

  • Kim, Nam-Soo
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.11 no.6
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    • pp.15-21
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    • 2011
  • Cooperative diversity system can be applied to an ad-hoc network for reduction of the power consumption, for expansion of the communication range, and for improving the system performance. In a selection relay cooperative diversity system which selects the maximal SNR(Signal-to-noise ratio) relay for transmitting the source information, the selected strong relay transmits continuously under slow fading channel, consequently it reduces the network lifetime. To overcome this defect, recently the uniform power relay selection has been studied to expand the network life time. We apply the uniform power relay selection to a DOT(Double opportunistic transmit) cooperative system that select the transmit relays, of which the SNR of the transmit relays exceed both of the source-relay and the relay-destination threshold. And the performance of the system is analytically derived. The performance comparisons are made among SC(Selection combining), MRC(Maximal ratio combining), and uniform power relay selection of the cooperative diversity system. We noticed that the performance of the uniform power relay selection is inferior to that of others. It is interpreted that the uniform transmit opportunity to the selected relays for extension of the network lifetime degrades the performance.

Energy Harvesting in Multi-relay Multiuser Networks based on Two-step Selection Scheme

  • Guo, Weidong;Tian, Houyuan;Wang, Qing
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.11 no.9
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    • pp.4180-4196
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    • 2017
  • In this paper, we analyze average capacity of an amplify-and-forward (AF) cooperative communication system model in multi-relay multiuser networks. In contrast to conventional cooperative networks, relays in the considered network have no embedded energy supply. They need to rely on the energy harvested from the signals broadcasted by the source for their cooperative information transmission. Based on this structure, a two-step selection scheme is proposed considering both channel state information (CSI) and battery status of relays. Assuming each relay has infinite or finite energy storage for accumulating the energy, we use the infinite or finite Markov chain to capture the evolution of relay batteries and certain simplified assumptions to reduce computational complexity of the Markov chain analysis. The approximate closed-form expressions for the average capacity of the proposed scheme are derived. All theoretical results are validated by numerical simulations. The impacts of the system parameters, such as relay or user number, energy harvesting threshold and battery size, on the capacity performance are extensively investigated. Results show that although the performance of our scheme is inferior to the optimal joint selection scheme, it is still a practical scheme because its complexity is much lower than that of the optimal scheme.

Relationship between Business Context and the Selection of Online Communication Media: Niche Theory Approach (조직 내 의사소통 환경과 온라인 커뮤니케이션 매체 선택간의 관계)

  • Oh Seung-Hee;Cho Nam-Jae;Park Sang-Hyeok
    • Journal of Information Technology Applications and Management
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    • v.13 no.3
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    • pp.129-143
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    • 2006
  • Diversity of available communication media has increased as the use of Internet and mobile technology increased rapidly. The traditional media tend to transform their roles and functionality. This change brings about the expansion of the span of media to be selected by users. In this study, we examined the characteristics of emerging communication media use based on Niche Theory. Online communication media in this study include Internet messenger, mobile phone, and e-mail. We also analyzed the relationship between the nature of task and the selection of communication media, that is, the effects of communication contexts(formal vs. informal, notification vs. request, superior vs. inferior) where by the communication partners are involved. The result of this study, mobile phone had the highest niche competitive superiority in all communication contexts, and internet messenger and e-mail made difference according to communication contexts. Also, we can notify internet messenger and e-mail have a mutual substitutive relationship by analysis of niche overlap.

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Analysis of Color Combination through Munsell Code based on CMYK (CMYK 연계 먼셀 코드를 이용한 색채 조화 유형화에 관한 연구 - 1995년 이후 건축상 수상작들의 실내이미지를 대상으로 -)

  • 이현수;조명은;김미정
    • Korean Institute of Interior Design Journal
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    • no.27
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    • pp.136-144
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    • 2001
  • As various colors are used indoors and such colors influence on the image of indoors, color selection and color combination are a very important issue in inferior design. The purpose of this study is to analyse characteristic of color usage in interior design elements such as the floor, the wall, the ceiling and furnitures. The result of analysis shows the frequently used Munsell code corresponding to the cmyk code. Based on this analysis, this paper classifies largely into two kinds of the color combination type which can be used leer efficient color selection with good harmony The first combination type is divided into five types and the second is classified into three types. This paper argues that combination design principle, as a strong design tool, for color should be further developed for good quality of color design.

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